Wyldnwoody44

Gurley and Matthews released by the Rams. Gurly on social media says "I got fired on my day off?" #quarantineandchill

Confirmed cases at my main hospital, I have had some symptoms this week, but no fever, my inhaler seems to be helping. I had to intubate a patient with B/L pneumonia that went to the ICU, was low risk but then we found out he had visitors from New Rochelle recently, my guess is that his patient had it, I had the right mask on, but still suspicious. I liked what Cuomo said this morning about keeping calm and how we've already had it most likely, he's not my favorite but I appreciated his speech.... Until he compared this to 9/11, then I stopped listening (please don't make this political) it was just a good speech about not panicking and that many people probably have already healed from it. I realize it's not a scientific speech, but one I think we all may need to hear at this time.

As @Brawndo stated the quinine and azithromycin route appears to have some good findings as of now. Quinine has historically been used in the family of Corona viruses for quite some time now. Also Brawn, I sent ya a PM @darksabreindeed the virus spreads more from respiratory droplets in the air and less than fomites, and direct droplet exposure increases inoculation and therefore symptoms, but it can live on surfaces for some time. The virus is very susceptible to many over the counter cleaners. @Claude_Verretas far as I know, we have no other plans for testing except to suspend influenza testing until we come up with a plan B. Lastly, I'm off today, I'm going to go on a cycle, get some fresh air. The 6ft rule is a good one, that's a safe distance for the respiratory droplets to not really reach if an inadvertent cough was heading in your direction, it's not 100% but it's a decent rule. The amount of people out and about here in the southern tier is saddening, stores full, a ton of traffic, it's like they are ignoring it all. I promise you they will have everything as quarantined as possible, and that OR will be the cleanest it's ever been, ever.

I know man, it's just crazy, the person that ordered that to happen doesn't even really work clinically, so obviously we have a issue. We refused, but if we have no masks we don't have a choice. We do have some papers in the decon room if we absolutley need to use them. The number of people I've seen wearing them incorrectly makes me want to institute a 361 day school year.

Aw Shucks, I'm not adding that much to this, a touch of cynicism and some stories from inside the hospital. Sadly the media doesn't quite portray what it's actually like inside the walls. What happened today was concerning a bit. We are ordered to no longer test for influenza and rsv as it uses the same medium that we use to test for covid-19, this is because we simply don't have enough media and tests. The caviat however, is that we are also supposed to rule out influenza first before testing for Corona. Those with positive influenza are currently considered "low risk" for Corona at this time. But we can't even do that, I am having a difficult time wrapping my head around the way things are unfolding, and they are nowhere near their peak. Also, to just add to it all, we don't have enough N95 masks, they are telling us that they want us to reuse them and put them in a ziploc bag, which is a f*ucking travesty. Talk about not being prepared for anything.

Well.... In that case.... You're screwed ?

It affects it, but doesn't guarantee that you'll be left incapacitated. Just make sure you wash your hands and just use some common sense is all ?

I saw a big influx in the hospital in January/February of patients with flu like symptoms, very classic influenza but yet tested negative and it was just attributed to a general viral illness. With zero tangible proof, just my own personal opinion, I do believe it has been here since about Christmas. It's part of the reason why I still feel the overreaction is a bit more than needed. But, it's all an evolving thing

I think there is some overreacting, yes. But I've softened a bit on my original stance, especially since being back in the thick of the hospital. I think social distancing is mostly good, it's probably even necessary, but social distancing can be done in a different manner (or, it should be able to be done without all of this) but maybe us as human are incapable without all the shutdown. It's just so unique, H1N1 killed a lot of people and the response there was nowhere near the same as it is now, I'm still having a difficult time wrapping my head around the stark differences.

Some medical tidbits and thoughts from my brain. The virus affects the ACE (angiotension converting enzyme) in the body, so those on ACE inhibitors (lisinopril, etc) are at a higher risk of a more aggressive response to the virus, causing much worse symptoms and attacks on cardiovascular and pulmonary health. The same theory applies to smokers, due to mainly hypertension and the previous affects and damage from smoking. Innoculation size matters, a person infected from small contact on then hands and then rubbing their eyes, will not have the same response as someone that gets a cough in the face, the severity is directly linked to initial viral load and that is why Healthcare workers are at an extremely high risk. The virus is bigger than most, but still small, 3 covid-19 virus could line up side by side and still go through an N95 mask, so it's helpful but it's not quite as good as it needs to be. Lastly, we are not testing as well as many think, the health department yesterday changed their stance multiple times and requested that we Don't test unless certain criteria were met, seems counterintuitive, but we simply don't have enough tests and we need to be selective in who we swab for this virus, if we do test the turnaround time is 3-10 days for a result at this moment. I'll also add this, we are grossly unprepared for any pandemic, I'm utterly shocked and saddened by seeing this first hand, if this was more deadly or something like ebola, we would be in super big trouble, I don't know what this will be in the future, but we need to get our crap together as a nation.

For those that are interested.

Just wear a papper, we have those and full hazmat suits too. Honestly, let me get it, quarantine me for 14 days and let me come back to kick some Corona ass. Honestly even if we had it, ain't no one going home

I don't know if people will say that, but I also don't know how many deaths we'll have if it doesn't flatten out. Some may die, most won't and this overall immunity in 2 weeks time would put this to rest for quite some time. Flattening the curve is really there to help from not overloading the health care system. I will say this, the health care system is overloaded most days of the year without this stuff going around. Dr. Fauci is an immunologist, probably a decent doctor, but just because he directs some big program doesn't make him right. Especially when the government is involved. (and this isn't meant to be political in any way) just the way the health world works, once involved in administration at any level, including federal, you lose a lot of what made you a good doctor and become what you need to, to keep that cushy position.

They're over in the PPE cart, I was just "fitted" for my mask, obviously if that had possible Corona contact it wouldn't be on my face there ?

I don't even know who he is honestly, as I don't follow news or politics well. I will say this, most physicians in that position haven't been real doctors in years. Same as physicians in administration in hospitals. The medications for influenza are basically placebo, so not having a medication isn't a big deal. And no vaccine isn't really a deal breaker, as the influenza vaccine has been mostly crap for a good part of a decade now. As for my stance, I am hoping the hysteria comes to an end in a few weeks, I think the illness is still not going to be as severe as we think, gut feeling, whatever you want to call it.

Thanks for the kind words all, but I am certainly no hero for doing my job, it's takes all walks of life to make the world go round. Let's hope for a swift return to normalcy

I get It, I saw people basically running over each other, black Friday style just for basic things, humanity is not a pleasamt sight at this time. When it comes to the news and the media, that is where I have a bit of an issue. Social separation is fine, and being informational and educational about this in the correct way would go a long way with this. But instead of helpful PSA's we are basically getting fear mongering. This is a very tough issues we are facing and there appear to be 2 distinct sides, from my medical training I am finding it hard to believe all of this over this virus. From someone not medically trained, I can see how this would seem like doomsday. My hope is that in 2-4 weeks max, we start seeing the light. I'm not hoping people get infected by any means, but my gut tells me many have and have made it through before the hysteria even started.

As of right now, the deaths I see from influenza, cancer, heart disease and etc are gravely higher than this Coronavirus. I worked through H1N1, and I do a lot of epidemiologic work in the 3rd world. I'm not trying to downplay this whole thing, but I do belive the fact that every death and every new case being thrown in our face is making this seem worse than it actually is (at this point). If this was ebola, or leprosy or something with tangible severe outcomes then yes, this is all warranted, but this is essentially the flu, in a loose sense of the word. And we are acting like flu season has never happened. I am also far too cynical from being in this career, so I will admit that isn't helping me in my stance on this. I just wish common sense would take hold more in the general public

Patient zero ???

Because they're overreacting.

I'll start by saying that social media has done much more damage than good in the world, it's certainly not helping in this particular case. Medically speaking, I don't think we have enough info as of yet, but I do belive it's getting blown up more than it needs to be. Sure it's a bad virus, but if they named it influenza C and didn't report every single death on television, I think we would be looking at a much different situation. The mass hysteria to this is what I am honestly having a hard time dealing with, I would take an educated guess that 20% of the population has already had this and are immune to it. But alas, here we are dealing with a "pandemic" and "crisis" I wish I could quarantine myself until people calm the f down

I will be back at the hospital starting in the morning. There are already so many measures in place, I have to immediately be fitted for a N95 mask which means I have to shave my beard (very sad as I just got a little tan, and now it'll look weird ??) From what I've heard from colleagues, it's been nothing short of hell on earth, and these are the things that we signed up for when we went into this field. I'll try and post a little bit more on this subject as I face it head on and have a better feel personally, there is too much noise/chaos/hysteria coming from all those noise boxes. I really need to see this in action.

Actually, I did find a great deal on a Cab Sauv today ? And it's Mingala.... Too soon?

NS is perfectly safe and well, in my basement....

Robert Plante needs to be in on the vocals. Resurrection of Doc for drums. Same for Randy Rhodes on electric. Victor Wooten on Bass